Individual provider · Type 1 NPI

Michael Robert Boldt, DMD

General Practice Dentistry · Medford, OR

NPI number 1336167329 Active

About NPI 1336167329

Michael Robert Boldt, DMD's National Provider Identifier is 1336167329, issued on Jul 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2007.